Stockwinners Market Radar for June 02, 2019 - Earnings, Upgrades downgrades, option trades, Best Stock Advisory Service

BA...

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19:18 EDT Fly Intel: Top five weekend stock stories - Catch up on the weekend's top five stories with this list compiled by The Fly: 1. The U.S. Federal Aviation Administration said some Boeing (BA) 737 MAX and NG planes may have parts that were improperly manufactured and that it will require their replacement, according to Reuters. The FAA said up to 148 leading edge slat tracks manufactured by a Boeing sub-tier supplier are affected and cover 133 NG and 179 MAX aircraft worldwide, and that a complete failure of a leading edge slat track would not result in the loss of the aircraft, but a failed part could lead to aircraft damage in flight, the report noted. 2. Fiat Chrysler (FCAU) is discussing a Renault (RNLSY) special dividend and stronger job guarantees in a bid to persuade the French government to back its proposed merger between the carmakers, Reuters' Laurence Frost reported, citing people familiar with the matter. The improved offer, if formalized and accepted, would also see the combined company's operations headquartered in France and the French state granted a seat on its board, sources said. 3. Semiconductor demand has been soft, U.S. antitrust officials are looking into Broadcom's (AVGO) dominance in some market, and Trump administration blacklisting Huawei will pinch the company's bottom line right away, Jack Hough wrote in this week's edition of Barron's. Nonetheless, investors should still buy Broadcom's shares, the author contended. With the promise of speedy 5G capability, Broadcom could supply more than $25 of components for 5G iPhones, up from about $20 for today's models, which might help offset revenue lost to a ban on shipments to Huawei, he added. 4. AT&T (T) subsidiary Warner Bros.' "Godzilla: King of Monsters" earned a lackluster $49M in its debut at the North American box office, launching below the last installment in the monster movie series. The movie starring Vera Formiga, Kyle Chandler and Millie Bobby Brown sits at a 39% on Rotten Tomatoes and sports a B+ CinemaScore. "King of Monsters' also came in number one at the international box office with $130M. 5. Compass Diversified (CODI), CareTrust (CTRE), HCP (HCP), LTC Properties (LTC), Sabra Health Care (SBRA), Senior Housing Properties (SNH), Ventas (VTR), and Welltower (WELL) saw positive mentions in this week's edition of Barron'
AJG

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18:24 EDT Arthur J. Gallagher acquires The Protectors Insurance Group - Arthur J. Gallagher announced the acquisition of Liverpool, New South Wales-based The Protectors Insurance Brokers and Regent Insurance Brokers Pty, collectively referred to as The Protectors Group. Terms of the transaction were not disclosed.
CELG

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15:17 EDT Celgene presents data from Phase 1/2 study of combo Iberdomide, Dexamethasone - Celgene announced the first clinical results evaluating iberdomide in combination with dexamethasone in patients with relapsed and refractory multiple myeloma from the ongoing phase 1/2 CC-220-MM-001 study during an oral presentation at the 2019 American Society of Clinical Oncology Annual Meeting in Chicago. The results included preliminary safety and efficacy data from the ongoing multicenter, open-label, dose-escalation study, which aims to determine the maximum tolerated dose and the recommended phase 2 dose of iberdomide in combination with dexamethasone. Iberdomide is Celgene's proprietary cereblon E3 ligase modulator compound with enhanced tumoricidal and immune stimulatory effects demonstrated in preclinical studies. The phase 1/2 study is expected to enroll approximately 300 participants. As of April 2019, 66 patients at a median age of 65 received the iberdomide plus dexamethasone combination, with iberdomide being administered in 8 incremental doses ranging from 0.3 mg to 1.3 mg. Escalating doses of iberdomide were given on days 1 through 21 in combination with dexamethasone on days 1, 8, 15, and 22 of each 28-day cycle. Patients had a median of five prior multiple myeloma treatment regimens, which could have included stem cell transplant, immunomodulatory drugs including lenalidomide and pomalidomide, proteasome inhibitors and daratumumab. Grade 3-4 adverse events reported included neutropenia, infection, anemia, thrombocytopenia, pulmonary embolism and peripheral sensory neuropathy. Six patients discontinued treatment due to adverse events. Of the 66 patients who received the iberdomide plus dexamethasone combination, 59 were evaluable for response. The overall response rate was 32%, with 29% achieving a partial response and two patients achieving a very good partial response. Patients who were refractory to IMiD compounds, which included lenalidomide and pomalidomide, had an overall response rate of 35% with 33% of patients achieving a partial response and one patient achieving a very good partial response. Further, patients who were refractory to both daratumumab and pomalidomide had an overall response rate of 29%, with 25% achieving a partial response and one patient achieving a very good partial response. Maximum tolerated dose and the recommended phase 2 dose have not yet been determined. The phase 1/2 study is also evaluating iberdomide as monotherapy and in combination with daratumumab or bortezomib or carfilzomib. Iberdomide is investigational and has not been approved in any country.
ADRO NVS

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15:15 EDT Aduro Biotech, Novartis present results from ongoing Phase 1b study - Aduro Biotech (ADRO) announced the presentation of data from an ongoing Phase 1b clinical trial in collaboration with Novartis (NVS). Aduro's ADU-S100, a novel STING pathway activator, is being evaluated in combination with Novartis' spartalizumab, an investigational anti-PD-1 monoclonal antibody, in patients with advanced solid tumors or lymphomas. The Phase 1b multi-center, open-label, dose-escalation clinical trial enrolled patients with advanced, metastatic treatment-relapsed/refractory solid tumors or lymphomas and evaluated two treatment schedules. All patients received a fixed dose of 400 mg of intravenous spartalizumab on day 1 and either an intratumoral injection of ADU-S100 on days 1, 8 and 15 in a 28-day cycle or an IT injection of ADU-S100 on day 1 of every 28-day cycle. Data presented were based on findings from 83 enrolled patients, with 53 patients in the weekly group and 30 patients in the monthly group. No dose-limiting toxicities were reported during the first cycle in any of the 50 - 1,600 microg dose cohorts. The adverse events of the combination of ADU-S100 and spartalizumab reported were no more frequent or severe than those reported in either single agent trial. Treatment was discontinued in two patients due to adverse events. Five patients enrolled in the weekly group achieved confirmed responses - one CR and two PRs in anti-PD-1-naive TNBC, as well as two PRs in previously immunotherapy-treated melanoma. Eight of the 11 enrolled TNBC patients were evaluable for efficacy. Of the eight evaluable TNBC patients, the three patients with a CR/PR are continuing to receive treatment. Of the three unevaluable TNBC patients, one patient discontinued the study early due to toxicity (pneumonitis) and the two remaining patients are too early for assessment.
ADRO

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15:14 EDT Aduro Biotech, Novartis present results from ongoing Phase 1b study - Aduro Biotech (ADRO) announced the presentation of data from an ongoing Phase 1b clinical trial in collaboration with Novartis (NVS). Aduro's ADU-S100, a novel STING pathway activator, is being evaluated in combination with Novartis' spartalizumab, an investigational anti-PD-1 monoclonal antibody, in patients with advanced solid tumors or lymphomas. The Phase 1b multi-center, open-label, dose-escalation clinical trial enrolled patients with advanced, metastatic treatment-relapsed/refractory solid tumors or lymphomas and evaluated two treatment schedules. All patients received a fixed dose of 400 mg of intravenous spartalizumab on day 1 and either an intratumoral injection of ADU-S100 on days 1, 8 and 15 in a 28-day cycle or an IT injection of ADU-S100 on day 1 of every 28-day cycle. Data presented were based on findings from 83 enrolled patients, with 53 patients in the weekly group and 30 patients in the monthly group. No dose-limiting toxicities were reported during the first cycle in any of the 50 - 1,600 microg dose cohorts. The adverse events of the combination of ADU-S100 and spartalizumab reported were no more frequent or severe than those reported in either single agent trial. Treatment was discontinued in two patients due to adverse events. Five patients enrolled in the weekly group achieved confirmed responses - one CR and two PRs in anti-PD-1-naive TNBC, as well as two PRs in previously immunotherapy-treated melanoma. Eight of the 11 enrolled TNBC patients were evaluable for efficacy. Of the eight evaluable TNBC patients, the three patients with a CR/PR are continuing to receive treatment. Of the three unevaluable TNBC patients, one patient discontinued the study early due to toxicity (pneumonitis) and the two remaining patients are too early for assessment. Twenty-five of the 35 melanoma patients were radiologically evaluable for efficacy. Of the 25 evaluable melanoma patients, the two patients with a PR stayed on treatment for over five months and eight months, respectively. Nine melanoma patients achieved stable disease. Of the 10 unevaluable melanoma patients, seven patients were ongoing as of the data cut-off and were too early for assessments, two patients discontinued due to clinical progression and one patient chose to start another treatment.
AMGN

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15:10 EDT Amgen announced data from Phase 1 studies on bispecific T cell engager molecules - Amgen announced new data from Phase 1 studies evaluating investigational bispecific T cell engager molecules were presented at the 55th Annual Meeting of the American Society of Clinical Oncology in Chicago. Data presented included updated investigational AMG 420 safety and efficacy results in patients with relapsed and/or refractory multiple myeloma, as well as initial results from the investigational AMG 212 first-in-human trial in patients with metastatic castration-resistant prostate cancer. BiTE technology is a targeted immuno-oncology platform that is designed to engage patients' own T cells to a tumor-specific antigen, activating the cytotoxic potential of T cells. Updated results from a Phase 1, first-in-human dose-escalation trial of investigational AMG 420, a B-cell maturation antigen (BCMA)-targeting BiTE molecule, in patients with R/R MM were shared during an oral presentation at the ASCO Annual Meeting. The objectives of the study included assessment of the safety, tolerability and anti-tumor activity of AMG 420 per International Myeloma Working Group 2006 Uniform Response Criteria for Multiple Myeloma. In the study, 42 patients with R/R MM who had progression after at least two prior lines of treatment received AMG 420 at varying doses. Of the doses tested in this study, 400 microg/d was the maximum tolerated dose. As of the latest readout, AMG 420 induced clinical responses in 13 of 42 patients across the dosing cohorts. Of the six patients that achieved a minimal residual disease-negative complete response, five were treated at the 400 microg/d dose. In addition, at the 400 microg/d dose, one patient achieved a very good partial response, and one achieved a partial response. The overall response rate at 400 microg/d was 70%. The median duration of response was nine months. Median time to response was one month, with 11 of 13 patients responding in the first cycle. Serious adverse events were reported in 19 patients. Sixteen required hospitalization and four had prolonged hospitalization. No grade 3 or 4 central nervous system toxicities were observed. Serious AEs occurring in more than one patient included infections and peripheral polyneuropathy. Treatment-related serious AEs included polyneuropathy and edema. Grade 3 cytokine release syndrome was seen in one patient. Two patients died during the study from AEs not considered treatment-related: one patient died from acute respiratory distress due to concurrent flu and aspergillosis, and the second patient died from liver failure secondary to a viral infection during the course of treatment. Initial results from a Phase 1 dose-escalation study of investigational AMG 212, in patients with mCRPC who are refractory to standard therapy were presented in a poster at the ASCO Annual Meeting. In the trial, 16 patients with mCRPC were enrolled into five dosing cohorts, with a target dose range of 5 to 80 microg/d delivered by continuous intravenous infusion. The primary objective was to determine safety and MTD and secondary objectives included pharmacokinetics, biomarkers and tumor response. Antitumor activity as indicated by decline in serum level of prostate-specific antigen was dose dependent. PSA decreases of greater than or equal to 50 percent occurred in three patients. One long-term responder was treated for 14 months and one for 19.4 months. The latter patient showed a complete regression of soft-tissue metastases and marked regression of bone metastases, as well as a significant and durable improvement in disease-related symptoms. Recruitment in the trial was stopped before MTD was reached to facilitate initiation of a new study sponsored by Amgen.
CRVS

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15:04 EDT Corvus Pharmaceuticals presents initial CPI-006 Phase 1/1b clinical data - Corvus Pharmaceuticals announced initial results from its Phase 1/1b trial of CPI-006, the company's anti-CD73 antibody. The initial clinical data from the dose escalation study showed a trend toward longer disease control with higher doses of CPI-006, and enhanced disease control with CPI-006 in combination with ciforadenant compared with monotherapy, in patients with advanced, refractory cancer. The CPI-006 Phase 1/1b study is currently enrolling patients with a variety of cancers who have failed standard therapies. It is designed to select the dose and evaluate the safety, pharmacokinetics, immune biomarkers and efficacy of CPI-006 as a single agent; in combination with ciforadenant, a selective and potent inhibitor of the adenosine A2A receptor; and in combination with pembrolizumab, an anti-PD-1 antibody. The efficacy endpoints are complete response, partial response, disease control rate, duration of response, progression-free survival and overall survival. Initial Phase 1/1b results were presented at ASCO 2019 and included data from 12 patients who received CPI-006 given intravenously as monotherapy and eight patients who received the combination treatment of CPI-006. These patients had advanced, refractory disease, and had failed a median of four prior therapies. Pharmacokinetic studies showed a dose-dependent increase in CPI-006 plasma exposure, with doses of 12 mg/kg achieving complete and sustained occupancy of CD73 on peripheral blood lymphocytes. Biopsies revealed penetration of CPI-006 and occupancy of CD73 in tumors at doses of 12 mg/kg. Infusions of CPI-006 resulted in rapid activation and migration of B lymphocytes with concomitant changes in peripheral blood CD4 to CD8 ratios. These changes are believed to be consistent with trafficking and activation of antigen presenting cells to peripheral lymph nodes. In vitro and in vivo studies revealed increased expression of the activation markers CD69, CD83 and CD25, as well as increases in CD86 and class II MHC (major histocompatibility complex) indicating activation of antigen presenting cells, such as B cells, macrophages and dendritic cells. A patient with metastatic prostate cancer that had previously failed multiple anti-androgen therapies and chemotherapy received over 11 cycles of CPI-006 monotherapy at a dose of 6 mg/kg and showed reduction in tumor volume and a reduction in bone pain. A trend toward longer disease control was seen in patients treated with doses of 6 mg/kg and higher, doses which achieved sustained target occupancy; combination therapy appeared to enhance disease control. For all dose cohorts of monotherapy, four patients had stable disease. No patients receiving 1mg/kg of monotherapy achieved stable disease; all of these patients had disease progression at first evaluation. For the ciforadenant combination cohorts, the follow up period was short; two patients have stable disease at the lowest dose of 1 mg/kg. Five patients continue on therapy with follow-up of 2-11 treatment cycles. CPI-006 was well tolerated at all dose levels, with no dose-limiting toxicities. Grade 1 infusion reactions were detected and mitigated with premedication with acetaminophen and antihistamine. Grade 3 or 4 toxicities included a grade 3 anemia.
ZIOP

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15:00 EDT Ziopharm provides data from two ongoing substudies in Controlled IL-12 platform - Ziopharm Oncology announced the presentation of new interim analyses of clinical data from two ongoing substudies in its Controlled IL-12 platform, or Ad-RTS-hIL-12 plus veledimex, both as monotherapy and in combination with a PD-1 inhibitor, for the treatment of recurrent or progressive glioblastoma multiforme in adults, at the American Society for Clinical Oncology Annual Meeting. In the setting of rGBM, the Company previously reported phase 1 data from the "Main Study" which demonstrated an increased median overall survival of 12.7 months with 13.1 months follow up for 15 patients that received 20mg/day veledimex, which further improved to 17.8 months in the 40% of patients receiving low-dose steroids.1 In this study, improvements in mOS correlated with IL-12-mediated activation of peripheral blood immune cells as assessed by serially measuring the ratio of CD8+/FoxP3+ T cells described as "cytoindex." These data support Ziopharm's continued development of its Ad-RTS-hIL-12 plus veledimex as a drug to control the production of interleukin 12.
SPPI

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14:57 EDT Spectrum announces integrated results from to Phase 3 ROLONTIS trials - Spectrum Pharmaceuticals announced integrated analysis results from two Phase 3 clinical trials of ROLONTIS. ROLONTIS is a long-acting granulocyte colony-stimulating factor being studied as a treatment for neutropenia in patients undergoing myelosuppressive cytotoxic chemotherapy. The analysis found that integrated efficacy and safety data from the two identically designed Phase 3 trials - ADVANCE and RECOVER - were consistent with results from the individual trials, demonstrating that ROLONTIS was non-inferior to pegfilgrastim in the reduction of duration of severe neutropenia in all four cycles of treatment. Integrated data derived from the two Phase 3 clinical trials, demonstrated that in Cycle 1, the mean DSN+/-SD was 0.24+/-0.581 days for ROLONTIS and 0.36+/-0.789 days for pegfilgrastim, demonstrating non-inferiority. The non-inferiority of ROLONTIS for DSN was maintained across all four treatment cycles. The ROLONTIS arm had an absolute risk reduction of severe neutropenia of 6.5% versus pegfilgrastim in Cycle 1. Absolute risk reduction was defined as the difference in the percentage of patients who experienced severe neutropenia. Febrile neutropenia and neutropenic complications were similar between the ROLONTIS and pegfilgrastim arms. Integrated safety data presented also showed that the adverse events in general, regardless of causality, were not significantly different between the two treatment arms. Spectrum Pharmaceuticals is currently working on a revised Biologics License Application to submit to the FDA.
MYGN...

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14:54 EDT Myriad Genetics presents results on BRACAnalysis CDx Companion diagnostic test - Myriad Genetics (MYGN) announced that its BRACAnalysis CDx companion diagnostic test effectively identified patients with metastatic pancreatic cancer who benefitted from treatment with Lynparza in the Phase III POLO study. Specifically, the POLO study demonstrated that patients with a germline mutation, and whose disease had not progressed on first-line platinum-based chemotherapy, had a clinically-meaningful and statistically-significant improvement in progression-free survival of 7.4 months when treated with Lynparza compared to 3.8 months for placebo. Lynparza is a novel PARP inhibitor being commercialized by AstraZeneca (AZN) and Merck (MRK) and is not currently approved by the U.S. Food and Drug Administration for gBRCAm pancreatic cancer. In February, the National Comprehensive Cancer Network updated its guidelines to recommend universal germline BRCA testing for all patients with pancreatic cancer. Pancreatic cancer is the third most common cause of cancer-related death in the United States, and it is estimated that germline BRCA-mutated pancreatic cancer accounts for approximately seven percent of all cases. Myriad previously announced that it intends to file a supplementary Premarket Approval application with the FDA to authorize BRACAnalysis CDx as a companion diagnostic for Lynparza in patients with pancreatic cancer. The company also has signed an exclusive commercialization agreement with AstraZeneca.
AZN

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14:50 EDT AstraZeneca presents 3-year OS results from Phase III PACIFIC trial of IMFINZI - AstraZeneca has presented three-year overall survival results from the Phase III PACIFIC trial of IMFINZI in unresectable, Stage III non-small cell lung cancer during the 2019 American Society of Clinical Oncology Annual Meeting in Chicago. The latest results from this post-hoc analysis show longer-term OS evidence in patients with unresectable, Stage III NSCLC who had not progressed following concurrent chemoradiation therapy, a previous standard-of-care treatment. The OS rate was 57% at three years for patients receiving IMFINZI vs. 43.5% for placebo following concurrent CRT. Median OS was not yet reached with the IMFINZI arm versus 29.1 months for placebo. Results build on the primary two-year OS analysis that was published in The New England Journal of Medicine in September 2018 and demonstrated a significant OS benefit for treatment with IMFINZI vs. placebo after CRT, regardless of PD-L1 expression. The primary analysis showed IMFINZI reduced the risk of death by 32%. With the additional year of follow up, the latest results for IMFINZI showed consistent efficacy, maintaining a 31% reduction in the risk of death vs. placebo after CRT. IMFINZI can cause serious, potentially fatal adverse events. In the previous two-year OS analysis, the most common adverse reactions for patients receiving IMFINZI versus placebo were cough, fatigue, dyspnea and radiation pneumonitis. 30.5% of patients experienced a grade 3 or 4 AE with IMFINZI vs. 26.1% with placebo, and 15.4% of patients discontinued treatment due to AEs with IMFINZI vs. 9.8% of patients on placebo.
PBYI

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14:48 EDT Puma Biotechnology presents interim results of Phase II CONTROL trial - Puma Biotechnology presented updated interim results from a Phase II clinical trial of Puma's drug neratinib at the American Society of Clinical Oncology 2019 Annual Meeting in Chicago. Neratinib was approved by the U.S. Food and Drug Administration in July 2017 for the extended adjuvant treatment of adult patients with early stage HER2-positive breast cancer following adjuvant trastuzumab-based therapy, and is marketed in the U.S. as NERLYNX tablets. The main adverse event seen to date in clinical trials of neratinib is diarrhea and, more specifically, grade 3 diarrhea. In the Phase III ExteNET trial of neratinib as extended adjuvant treatment of HER2-positive early stage breast cancer that has previously been treated with adjuvant Herceptin, prophylactic use of anti-diarrheal medications was not mandatory. In the trial, 95.4% of the patients experienced all grade diarrhea and 39.8% of the patients experienced grade 3 or higher diarrhea. The median cumulative duration of grade 3 diarrhea in the ExteNET trial was 5 days and 16.8% of patients who received neratinib in the ExteNET trial discontinued the drug due to diarrhea. The CONTROL trial is an international, open-label, Phase II study investigating the use of antidiarrheal prophylaxis or dose escalation in the reduction of neratinib-associated diarrhea that has a primary endpoint of the incidence of grade 3 diarrhea. In the CONTROL trial, patients with HER2-positive early stage breast cancer who had completed trastuzumab-based adjuvant therapy received neratinib daily for a period of one year. The trial initially tested high dose loperamide prophylaxis given for the first 2 cycles of treatment. The CONTROL trial was then expanded to include four additional cohorts. One cohort received the combination of loperamide and budesonide, the second cohort received the combination of loperamide plus colestipol, the third cohort received colestipol plus loperamide as needed and the fourth cohort did not use any antidiarrheal drugs as mandatory prophylaxis but instead used a dose escalation during the first month of neratinib treatment. The dose escalation involved treating with neratinib at 120 mg per day for the first week, 160 mg per week for the second week and 240 mg per week starting at week 3 and until the end of treatment. The interim analysis of the CONTROL trial presented in the poster included a total of 137 patients who received neratinib plus loperamide prophylaxis, 64 patients who received neratinib plus loperamide prophylaxis for 2 cycles and budesonide for 1 cycle, 136 patients who received neratinib plus loperamide prophylaxis for 1 cycle and colestipol for 1 cycle, 104 patients who received colestipol for 1 cycle and loperamide as needed and 60 patients who received the dose escalation regimen of neratinib.
MRK AZN

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14:44 EDT AstraZeneca, Merck present results from Phase 3 POLO trial evaluating LYNPARZA - AstraZeneca (AZN) and Merck (MRK), known as MSD outside the United States and Canada, announced detailed results from the Phase 3 POLO trial evaluating LYNPARZA tablets as a first-line maintenance monotherapy for patients with germline BRCA-mutated metastatic adenocarcinoma of the pancreas whose disease had not progressed following platinum-based chemotherapy. Results from the trial showed a statistically-significant and clinically-meaningful improvement in progression-free survival for LYNPARZA compared to placebo, reducing the risk of disease progression or death by 47%. The median PFS for patients treated with LYNPARZA was 7.4 months compared to 3.8 months for those on placebo, with more than twice as many patients remaining progression free at both one year and two years respectively. The safety and tolerability profile of LYNPARZA in the POLO trial was in line with that observed in prior clinical trials. Around 84% of patients on LYNPARZA remained on the recommended starting dose, while 16% had a dose reduction vs. 97% who remained on the recommended dose with placebo, while 3% had a dose reduction. Additionally, 95% of patients on LYNPARZA continued treatment without an AE-related discontinuation, while 5% had an AE-related discontinuation vs. 98% who continued treatment without an AE-related discontinuation and 2% that had an AE-related discontinuation with placebo. LYNPARZA is not currently approved by the U.S. Food and Drug Administration for gBRCAm pancreatic cancer.
AIMT

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14:41 EDT Aimmune presents topline results from pivotal European Phase 3 ARTEMIS trial - Aimmune Therapeutics presented topline results from the pivotal European Phase 3 ARTEMIS clinical trial, which it previously announced had met its primary endpoint, demonstrating the efficacy and safety of AR101 in peanut-allergic children and adolescents after six months of dose escalation and a three-month therapeutic dosing phase. The findings from the ARTEMIS trial reinforce the consistent clinical profile of AR101, demonstrating that patients tolerated 1,000 mg of peanut protein after only nine months of treatment, which was the primary endpoint of the study. The ARTEMIS study builds on the results of the landmark PALISADE trial, which met its primary endpoint of patients tolerating 600 mg of peanut protein at 12 months. AR101 is an investigational biologic drug for use in oral immunotherapy as a treatment to reduce the frequency and severity of allergic reactions following exposure to peanuts. The proportion of AR101-treated patients who tolerated the 1,000 mg dose of peanut protein in the double-blind, placebo-controlled food challenge was significantly higher than in the placebo group: 58% vs. 2%. The AR101-treated patients had less severe symptoms during the exit peanut DBPCFC, compared with the placebo-treated patients. In the study, 175 subjects aged 4 to 17 years in seven European countries were randomized 3:1 to AR101 or placebo, up-dosed to 6 mg on day 1 and received dose escalations every two weeks for 20-40 weeks until the therapeutic dose of 300 mg was reached. This was followed by approximately three months of continued 300 mg/day therapeutic dosing. The primary endpoint was the ability to tolerate at least 1,000 mg of peanut protein as a single dose without dose-limiting symptoms at exit DBPCFC. The safety profile of AR101 was consistent with previous AR101 studies with the frequency and severity of allergic reactions as expected for an oral desensitization therapy. Mild or moderate systemic allergic reactions were reported in 12.1% of AR101-treated subjects and 2.3% of placebo-treated subjects. Epinephrine/adrenaline use was reported in 6.8% of AR101 treated participants versus 2.3% of placebo, all for mild/moderate reactions and lower than reported in PALISADE. Discontinuations due to related adverse events affected 9.8% of AR101-treated subjects, with no serious adverse events reported that led to discontinuation, and no deaths or suspected unexpected serious adverse reactions. There were no reported cases of eosinophilic esophagitis and no cases of severe anaphylaxis.
GILD

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14:39 EDT Kite announces end of Phase 1 ZUMA-3 results for KTE-X19 - Kite, a Gilead company, announced results from the completed Phase 1 of the ZUMA-3 study evaluating KTE-X19, an investigational CD19 chimeric antigen receptor T cell therapy. ZUMA-3 is a single-arm Phase 1/2 study in adult patients with relapsed or refractory acute lymphoblastic leukemia. The results provide guidance on dosing and safety management for KTE-X19 to inform the ongoing Phase 2 study. By the end of Phase 1, 45 patients received KTE-X19 at one of three different doses levels. Patients enrolled in this study were primary refractory or relapsed/refractory after at least two prior lines of therapy. Of 41 patients who were evaluable for efficacy after a minimum two months of follow-up, 68% achieved complete response or CR with incomplete hematological recovery and 100% of responders had undetectable minimal residual disease. Of the 23 patients treated with the dose level that will be used in the ongoing Phase 2 study, 19 were evaluable for efficacy. At the time of data cut-off, 16 patients achieved CR or CRi, and 12 patients were in ongoing response. No dose-limiting toxicities were identified. Grade greater than or equal to 3 cytokine release syndrome events and neurologic events occurred in 29% and 38% of all patients, respectively. As previously reported, two patients experienced KTE-X19-related Grade 5 adverse events during the study; one developed stroke in the context of CRS and neurologic events, and one experienced multiorgan failure secondary to CRS. Among patients receiving 1 x 106 cell/kg, 26% experienced Grade greater than or equal to 3 CRS, and 43% experienced Grade greater than or equal to3 neurologic events. A revised AE management protocol was implemented in nine patients treated with 1 x106 cells/kg of KTE-X19 during the study. In this revised protocol, corticosteroids were initiated at onset of Grade greater than or equal to2 neurologic events and tocilizumab was only given for management of toxicities in the context of CRS. Of those patients, two had Grade 3 CRS and one had Grade 3 neurologic events. There were no Grade 4/5 events.
GTHX

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14:35 EDT G1 Therapeutics presents additional Phase 2 data on Trilaciclib in SCLC - G1 Therapeutics presented additional findings from a randomized Phase 2 clinical trial demonstrating the myelopreservation benefits of trilaciclib in patients undergoing chemotherapy treatment for 2nd/3rd-line small cell lung cancer. Trilaciclib is a first-in-class myelopreservation agent designed to protect the bone marrow from damage by chemotherapy and improve patient outcomes. In December 2018, the company announced topline data showing that SCLC patients receiving trilaciclib + topotecan experienced statistically significant reductions in the duration and occurrence of Grade 4 neutropenia, and that trilaciclib treatment resulted in a reduction in the number of granulocyte colony-stimulating factor administrations and red blood cell transfusions, compared to patients receiving placebo + topotecan. Overall, patients receiving trilaciclib + topotecan showed an improved safety profile compared to those receiving placebo + topotecan. An analysis of patient-reported outcomes data showed clinically meaningful improvements in the treatment experience for patients receiving trilaciclib + topotecan compared to those receiving placebo + topotecan. Patients receiving trilaciclib reported significant improvements in several areas, including: general and physical wellbeing, quality-of-life measures specific to lung cancer patients, symptoms and impact of fatigue, and symptoms and effects on physical and functional wellbeing due to anemia.
CLDX

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14:33 EDT Celldex announces data from CDX-3379 clinical program - Celldex Therapeutics presented results from the CDX-3379 clinical program at the 2019 American Society of Clinical Oncology Annual Meeting in Chicago. To date, three studies of CDX-3379 have enrolled patients with head and neck squamous cell carcinoma, including the ongoing Phase 2 exploratory study of CDX-3379 in combination with Erbitux in patients with cetuximab-resistant, advanced human papillomavirus negative HNSCC who have previously been treated with an anti-PD1 checkpoint inhibitor. Emerging data from the Phase 2 study and earlier studies of CDX-3379 suggest that antitumor activity may be associated with somatic mutations in certain genes. Based on these observations, Celldex conducted an exploratory biomarker analysis in 18 HNSCC patients across the CDX-3379 clinical development program. CDX-3379 is a human monoclonal antibody that uniquely blocks the activity of ErbB3. ErbB3 is expressed in many cancers, including head and neck squamous cell cancer and is believed to be an important receptor regulating cancer cell growth and survival as well as resistance to targeted therapies. Next-generation sequencing was performed on tumor samples from 18 patients with HNSCC treated with CDX-3379 across the three clinical studies. This data set included four patients with clinical responses, including two durable complete responses, an exceptional partial response and an unconfirmed partial response; eight patients with stable disease and/or tumor shrinkage; and, six patients with progressive disease. This multicenter, open-label, Phase 2 study of CDX-3379 in combination with cetuximab is designed to enroll approximately 30 patients with cetuximab-resistant, advanced, HPV negative HNSCC who have previously been treated with an anti-PD1 checkpoint inhibitor, a population with limited options and a particularly poor prognosis. Cetuximab is dosed weekly; CDX-3379 is administered once every three weeks. Treatment continues until disease progression or intolerance, and assessments occur every six weeks. Using a Simon two-stage design, the first stage of study was designed to enroll 13 patients, and if at least one patient achieved a partial response or complete response, enrollment could progress to the second stage; this objective was met. Fifteen patients were enrolled in stage 1 of the study. Patients had a median of 3 prior cancer therapy treatments. All patients had received prior checkpoint inhibitor treatment and 14 of 15 patients were cetuximab refractory. Notable clinical activity was observed in this refractory patient population where treatment options are limited. A durable confirmed complete response was observed; this response remains ongoing and the patient continues to receive treatment. An unconfirmed partial response in a patient that had not received cetuximab was also observed. 7 patients experienced stable disease. A clinical benefit rate of 29% was achieved. Dose reductions and/or delays to the combination therapy in the majority of patients may have impacted the magnitude of anti-tumor activity; dose modifications are being considered for future studies. CDX-3379 in combination with cetuximab was generally associated with the expected target-mediated adverse events of diarrhea and rash. Celldex intends to incorporate evaluation of biomarkers for patient selection into the CDX-3379 development program, either through amending the existing study or concluding the study and initiating a new clinical trial. The company, working together with investigators and key opinion leaders in the treatment of HNSCC, anticipates finalizing these plans in the coming weeks.
DVAX MRK

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14:28 EDT Dynavax presents Phase 2 data on SD-101 in combination with Keytruda - Dynavax Technologies (DVAX) announced favorable results from the Phase 2 cohort expansion of the Phase 1b/2, open-label, multicenter study of intratumoral SD-101 in combination with Merck's (MRK) Keytruda in anti-PD-1 treatment-naive patients with recurrent or metastatic head and neck squamous cell carcinoma. In the Phase 1b/2 clinical study in patients with recurrent or metastatic HNSCC, SD-101 is administered intratumorally with 8 mg in 1 lesion or 2 mg in 1-4 lesions combined with intravenous administration of 200 mg of pembrolizumab. An ORR of 22.2% in the 2 mg cohort and an ORR of 26.1% in the 8 mg cohort were observed. An ORR of 33.3% and a disease control rate of 41.6% were observed in patients with low PD-L1 status at baseline. An ORR of 36% was observed in patients with HPV-positive tumors. Biomarker data are consistent with the mechanism of action of SD-101 and demonstrate strong immunomodulation of the tumor microenvironment including infiltration of activated T cells and upregulation of Type I and Type II Interferon. Importantly, similar to what was reported for melanoma patients who had not received anti-PD-1 therapy, patients whose tumors exhibited an immunologically cold tumor microenvironment at baseline showed clinical response during SD-101 plus pembrolizumab treatment. The combination of SD-101 and pembrolizumab was well-tolerated, consistent with previous reports. No evidence of an increased incidence or severity of adverse events over pembrolizumab monotherapy. No increase in immune-related AEs over pembrolizumab monotherapy. AEs associated with SD-101 were mainly mild to moderate injection-site reactions and flu-like symptoms that were manageable with over-the-counter medication.
IMV

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14:25 EDT IMV Inc. presents new data from Phase 2 Monotherapy Arm of Dedide1 trial - IMV Inc. announced that investigators shared new data for its DeCidE1 clinical trial at the 2019 American Society for Clinical Oncology Annual Meeting. These new data are from the ongoing Phase 1b/2 trial evaluating the safety and efficacy of IMV's lead candidate DPX-Survivac and intermittent low-dose cyclophosphamide, with and without Incyte's IDO1 enzyme inhibitor epacadostat, in patients with advanced recurrent ovarian cancer. New data from evaluable patients from the phase 2 monotherapy arm of the trial indicated the potential for DPX-Survivac to impact solid tumor growth in hard to treat ovarian cancer patients. Longer-term follow-up from the phase 1b portion of the trial continued to demonstrate that the levels of survivin-specific T cells in the blood of patients - a measure of DPX-Survivac's novel mechanism of action - correlated with durable clinical benefits. Of seven patients evaluable at data cut-off in the monotherapy arm, five showed signs of treatment benefits, including reduction of target lesions in two patients, while two patients progressed. Within the group of four patients with low tumor burden - a potential predictor of response - three showed stable diseases including two reductions in tumor burden continuing the positive trend seen in earlier results. All subjects evaluable for T cell responses showed survivin specific T cell activation in the blood, four of five showed a robust response. IHC analysis for tumor infiltration is ongoing. Treatments have been well tolerated. The DeCidE1 study is an open label, uncontrolled phase 1b/2 trial to assess the safety and efficacy of DPX-Survivac and cyclophosphamide with and without epacadostat in individuals with advanced, platinum-sensitive and resistant ovarian cancer. IMV completed enrollment of 53 subjects in the phase 1b cohort in December 2018. Following positive top line data, IMV amended the phase 2 protocol to stop enrollment in the combination arm with epacadostat and evaluate DPX-Survivac monotherapy with CPA in patients with lower tumor burden. As of the May 27, 2019 data cut-off date, 12 subjects have been enrolled in the phase 2 randomized portion of the trial and 7 subjects have been enrolled so far in the monotherapy population with lower baseline tumour burden. The amended phase 2 cohort of the DECIDE1 trial is targeting enrollment of at least 16 subjects in the population with a lower baseline tumor burden. Enrollment is ongoing at multiple sites in the U.S. and Canada.
VCYT

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14:22 EDT Veracyte announces new data for Afirma Xpression Atlas genomic test - Veracyte announced new data demonstrating the potential for its Afirma Xpression Atlas genomic test to guide targeted treatment selection for patients with a rare but aggressive form of thyroid cancer concurrent with diagnosis by the company's Afirma Genomic Sequencing Classifier. Researchers used the Afirma XA to conduct RNA sequencing on 90 thyroid fine needle aspiration samples that had been diagnosed with medullary thyroid cancer through the Afirma GSC. The cohort was derived from nearly 30,000 sequential samples that were indeterminate or suspicious for cancer following traditional cytopathology testing. The researchers found that the Afirma XA identified a gene variant or fusion in 74% of the MTC cases and that 99 percent of these cases had one or more variants or fusions - RET, KRAS, HRAS and/or BRAF alterations - that are targeted by new therapies that are currently in clinical trials or early stage development. The test helps identify patients with benign thyroid nodules among those with indeterminate cytopathology results in order to help patients avoid unnecessary diagnostic thyroid surgery, while also identifying patients with MTC. The Afirma XA provides physicians with genomic alteration content from the same fine needle aspiration samples that are used in Afirma GSC testing and may help physicians decide with greater confidence on the surgical or therapeutic pathway for their patients. The Afirma XA includes 761 DNA variants and 130 RNA fusion partners in over 500 genes that are associated with thyroid cancer.
FPRX

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14:19 EDT Five Prime presents monotherapy data from Phase 1a/1b trial of FPA150 - Five Prime Therapeutics presented monotherapy data from the dose escalation portion of the Phase 1a/1b clinical trial of FPA150 in patients with advanced solid tumors. The data are the first presentation of FPA150 results and include safety and pharmacokinetics results from the Phase 1a monotherapy dose escalation portion of the study. The Phase 1a monotherapy portion of the study is being conducted in patients with advanced solid tumors, and the Phase 1b monotherapy expansion is enrolling patients with breast, ovarian and endometrial tumors that overexpress B7-H4. The open-label, multi-dose, multi-center Phase 1a dose escalation study was conducted in patients with advanced-stage solid tumors regardless of B7-H4 overexpression at monotherapy doses ranging from 0.01 to 20 mg/kg every three weeks in an accelerated titration followed by 3+3 design and in a separate dose exploration cohort in which patients with tumors that overexpress B7-H4 were treated at doses of 3 or 10 mg/kg every three weeks with mandatory pre- and on-treatment biopsies. FPA150 monotherapy demonstrated a favorable safety profile with no dose-limiting toxicities or treatment-related serious adverse events. Evaluation of anti-tumor activity is ongoing. A recommended dose of 20 mg/kg every three weeks was selected based on safety and pharmacokinetics. Of the 29 patients in the Phase 1a portion of the study,18 had B7-H4 positive tumors based on medium or high immunohistochemistry scores, including 11 patients with advanced ovarian cancer. Of these, one patient with ovarian cancer, who had been treated with seven prior lines of therapy including anti-PD1 therapy, achieved a confirmed partial response with a duration of 6.2 months. Monotherapy Phase 1b expansion began in February 2019 and is enrolling cohorts of patients with B7-H4 positive breast, ovarian and endometrial cancers at a dose of 20 mg/kg every three weeks. A safety lead-in of the combination of Keytruda, a PD1 antibody, and FPA150 has also begun enrolling patients with B7-H4 positive ovarian cancer. The company expects to present preliminary efficacy results from the monotherapy expansion cohorts and early safety results from the FPA150-Keytruda combination at the European Society of Medical Oncology in September 2019.
SRRA

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14:16 EDT Sierra Oncology announces preliminary efficacy in SRA737 clinical program - Sierra Oncology reported preliminary clinical data from its two first-in-human Phase 1/2 studies of SRA737, a highly selective oral Chk1 inhibitor, as monotherapy and as SRA737+LDG, at the 2019 Annual Meeting of the American Society of Clinical Oncology. Anti-cancer activity was demonstrated across multiple indications and genetic contexts, with SRA737+LDG specifically achieving a 30% response rate in anogenital cancer patients. This signal-seeking Phase 1/2 study was designed to investigate the safety and tolerability of SRA737 in combination with sub-therapeutic, low dose gemcitabine, as well as to evaluate preliminary anti-tumor activity of SRA737 potentiated by LDG in tumors with genetic alterations predicted to confer increased intrinsic RS and Chk1i sensitivity. Relative to standard-of-care, gemcitabine doses tested were approximately 10-25% of a standard chemotherapeutic dose. Anti-tumor activity was observed in subjects with advanced anogenital cancer, encompassing "noteworthy tumor decreases and promising durations of treatment," according to the company. Overall, Partial Responses were observed in six subjects and 41 subjects had a best response of Stable Disease; durable SD lasting greater than or equal to 4 months was recorded in 32 subjects and was observed in all expansion cohorts. The combination of SRA737+LDG was generally well tolerated. There was no evidence of emergent or cumulative toxicity and/or declining tolerability with up to 13 cycles of treatment. At the time of the data cut off, 22 subjects remained on study treatment. Based on overall tolerability, the recommended Phase 2 dose is 500 mg SRA737 + 250 mg/m2 LDG.
NKTR

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14:12 EDT Nektar presents biomarker, clinical data from PIVOT-02 Phase 2 study - Nektar Therapeutics announced that biomarker and clinical data from PIVOT-02 was presented at the 2019 American Society of Clinical Oncology Meeting in Chicago, Illinois. Bempegaldesleukin is an investigational, CD122-preferential IL-2 pathway agonist designed to provide sustained signaling through the IL-2 beta-gamma receptor. PIVOT-02 is an ongoing Phase 2 study evaluating bempeg in combination with nivolumab in solid tumors. Exploratory biomarker analyses of PIVOT-02 baseline tumor biopsies identified immune signatures that potentially enrich for response in patients with 1L metastatic melanoma and not 1L metastatic urothelial carcinoma. Notable response rates were seen in both 1L metastatic melanoma and 1L metastatic urothelial cancer patients, regardless of PD-L1 status or unfavorable tumor microenvironments. At a median time of follow-up of 12.7 months, confirmed objective response rate was 53% in efficacy-evaluable patients, with 34% of patients achieving confirmed complete responses. 42% of patients achieved a maximum reduction of 100% in target lesions. DCR, also known as disease control rate was 74%. Median time to response was 2 months. Median duration of response was not reached. At the 12.7 month median follow-up, data were too immature to calculate median progression-free survival. 80% of patients with responses have ongoing responses. Amongst the 35 patients with known pre-treatment PD-L1 status, ORR in PD-L1 negative patients was 6/14 and in PD-L1 positive patients was 13/21. One of three patients with unknown PD-L1 baseline status experienced a CR. A total of 6/41 of patients experienced a Grade 3 or higher TRAE with 4/41 patients discontinuing treatment due to a TRAE. A total of 41 patients have been treated at the RP2D with 3 patients discontinuing prior to 1st scan due to an unrelated treatment-emergent adverse event and patient decision. A Phase 3 trial evaluating bempeg in combination with nivolumab versus nivolumab in first-line advanced melanoma patients is currently recruiting patients. A Phase 2 pivotal trial evaluating bempeg in combination with nivolumab in first-line metastatic urothelial cancer is currently recruiting patients.
BPMC

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14:02 EDT Blueprint Medicines presents NAVIGATOR trial data of avapritinib - Blueprint Medicines announced data from the registration-enabling NAVIGATOR trial of avapritinib in patients with PDGFRA Exon 18 mutant gastrointestinal stromal tumors and fourth-line GIST. These results were presented at the American Society of Clinical Oncology 2019 Annual Meeting and will form the basis for planned worldwide marketing applications for avapritinib, an investigational, highly selective KIT and PDGFRA inhibitor for patients with advanced GIST. The data demonstrate clinical activity and favorable tolerability in patients with PDGFRA Exon 18 mutant and fourth-line GIST, two populations with no effective therapies. Data from the ongoing NAVIGATOR trial in patients with PDGFRA Exon 18 mutant GIST, which primarily includes the D842V mutation, and fourth-line GIST support Blueprint Medicines' plans to submit a New Drug Application to the U.S. Food and Drug Administration in June 2019 and a Marketing Authorization Application to the European Medicines Agency in the third quarter of 2019. Avapritinib has received FDA Breakthrough Therapy Designation for the treatment of patients with unresectable or metastatic GIST harboring the PDGFRalpha D842V mutation. In patients with PDGFRA Exon 18 mutant GIST, the objective response rate was 86% and the median duration of response was not reached. In patients with fourth-line GIST, the ORR was 22% and the median DOR was 10.2 months. ORR and DOR per central radiographic review will be the primary registrational endpoints. Avapritinib was well-tolerated with most adverse events reported by investigators as Grade 1 or 2. These results were as of a data cutoff date of November 16, 2018.
MEIP

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13:59 EDT MEI Pharma presents results for ME-344 in combination with Bevacizumab - MEI Pharma announced data presented at ASCO 2019 from an investigator-initiated study of investigational ME-344 in combination with bevacizumab in patients with early HER2-negative breast cancer. This study demonstrated proof of biologic anti-tumor activity as measured by a statistically significant reduction in Ki67, a measure of cell proliferation that is highly correlated with tumor response, in the group of patients treated with ME-344 compared to an increase in the group receiving saline. The clinical study was a multicenter, investigator-initiated, randomized, open-label trial evaluating ME-344 in a total of 42 patients with early HER2-negative breast cancer in combination with the vascular endothelial growth factor inhibitor bevacizumab. Patients were randomized one-to-one to either ME-344 plus bevacizumab or saline plus bevacizumab. The primary objective of the study was to show proof of ME-344 biologic activity as measured by Ki67 reductions from day 0 to 28 compared to placebo. Secondary objectives included determining whether ME-344 biologic activity correlates with vascular normalization. The data demonstrate significant biologic activity in the ME-344 treatment group: In ME-344 treated patients, mean absolute Ki67 decreases were 13.3 compared to an increase of 1.1 in the bevacizumab monotherapy group. In ME-344 treated patients, mean relative Ki67 decreases were 23% compared to an increase of 186% in the bevacizumab monotherapy group. The mean relative Ki67 reduction in patients experiencing vascular normalization in the ME-344 treated patients was 33%, compared to an increase of 11.8% in normalized patients from the bevacizumab monotherapy group. Approximately one-third of patients in each arm had vascular normalization. Treatment was generally well tolerated; two Grade 3 adverse events of high blood pressure were reported, 1 in each arm, and deemed related to bevacizumab.
ATRA

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13:57 EDT Atara Biotherapeutics presents Tab-cel clinical biomarker results - Atara Biotherapeutics presented results showing that circulating EBV-targeted cytotoxic T lymphocyte precursors could serve as a biomarker of clinical response to tab-cel in patients with EBV-driven diseases. Ten tab-cel-treated patients with EBV-associated diseases from a multicenter expanded access protocol study were selected. In this cohort, ex-vivo analyses of circulating EBV-CTLp following administration of tab-cel showed a statistically significant correlation with clinical response. A second presentation described the design of an ongoing Phase 1b/2 clinical study of tab-cel in combination with pembrolizumab for patients with platinum-resistant or recurrent EBV-associated nasopharyngeal carcinoma. Tab-cel has been evaluated as a single agent in previous studies where evidence of radiographic response was observed in patients with chemotherapy refractory, metastatic NPC.
CTMX

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13:55 EDT CytomX provides update on Anti-PD-L1 Probody CX-072 - CytomX Therapeutics presented additional results from PROCLAIM-072, an ongoing Phase 1/2 trial evaluating CX-072, a Probody therapeutic targeting PD-L1. Data from the ongoing CX-072 monotherapy expansion cohorts were presented in a poster and will be presented in a poster discussion at the 2019 Annual Meeting of the American Society of Clinical Oncology in Chicago, Illinois. The PROCLAIM-CX-072 monotherapy Part D phase is examining safety and efficacy of CX-072 at 10 mg/kg every 2 weeks in multiple selected tumor types. Data was reported in patients with triple negative breast cancer, anal squamous cell carcinoma, cutaneous squamous cell carcinoma, undifferentiated pleomorphic sarcoma, and small bowel adenocarcinoma. As of an April 5, 2019 data cutoff, 72 patients were enrolled and treated across the five reported cohorts. Among the 65 patients evaluable for efficacy, confirmed partial responses were observed in two patients with TNBC, one in a cSCC patient, and one in a UPS patient. A partial response, unconfirmed at the time of data cutoff, was subsequently confirmed in an anal SCC patient. These data resulted in disease control rates of 53% in TNBC, 58% in anal SCC, 67% in cSCC, 25% in UPS, and 17% in SBA. Decreases in target lesion size were observed in the first 8 to 16 weeks of treatment. Responding patients remained on CX-072 for up to 72 weeks. Patients enrolled were generally heavily pretreated with a median number of three prior regimens before receiving CX-072. As of the data cutoff, CX-072 monotherapy was generally well tolerated with a favorable overall safety profile. Of the 72 patients evaluable for safety, 6% of patients experienced a grade greater than or equal to3 treatment related adverse event, and 3% experienced grade greater than or equal to 3 immune related adverse events with no TRAEs leading to treatment discontinuation.
REPL

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13:52 EDT Replimune announces initiation of Phase 2 of RP1 trial - Replimune announced that the Phase 2 portion of the Company's Phase 1/2 clinical trial of RP1 alone and in combination with nivolumab anti-PD1 therapy has initiated. In the Phase 2 portion of the clinical trial, RP1 in combination with nivolumab will be tested in four 30-patient cohorts of patients with melanoma, non-melanoma skin cancers, metastatic bladder cancer or microsatellite instability-high tumors. Enrollment is now open in the melanoma, NMSC and bladder cancer cohorts, and enrollment in the MSI-H cohort will open as soon as a protocol-required MSI-H patient is evaluable from Phase 1. The patients enrolled into the melanoma cohort either will be treatment naive or have received one prior systemic therapy, and the patients enrolled into the other three cohorts will all be naive to anti-PD1 therapy. Data relating to the Phase 1 portion of the clinical trial, including biomarker data, is expected to be presented at a medical conference in the fourth quarter of 2019. The Phase 1 portion tested single agent RP1 by direct injection into a single superficial or nodal tumor and by imaging guided injection into a single visceral tumor in patients with advanced heavily pre-treated cancers who failed available therapy to define the recommended Phase 2 dose. Following determination of the recommended Phase 2 dose, an expansion group of advanced cancer patients who failed available therapy then received RP1 at the recommended Phase 2 dose in combination with nivolumab at standard clinical doses. The company also announced that a trial in progress poster was presented at the 2019 American Society of Clinical Oncology Annual Meeting.
BLCM

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13:50 EDT Bellicum presents interim data for BPX-601 in Metastatic Pancreatic Cancer - Bellicum Pharmaceuticals announced updated safety and activity data for BPX-601 from a Phase1/2 study in patients with metastatic pancreatic cancer expressing prostate stem cell antigen. The most recent cohort of patients enrolled incorporated a standard lymphodepletion conditioning regimen consisting of fludarabine/cyclophosphamide prior to receiving BPX-601 GoCAR-T cells. This Phase 1/2 trial has been designed to enroll patients with PSCA-positive pancreatic cancer to assess the safety, biologic and clinical activity of BPX-601. As of April 23, 2019, the data cut-off date for the current analysis, 18 patients have been treated with BPX-601. The initial 13 patients received BPX-601 following Cy lymphodepletion, and 5 patients in the latest cohort received BPX-601 following Flu/Cy lymphodepletion. Four patients did not receive rimiducid, and 14 patients received a single dose of rimiducid approximately one week following BPX-601. Peak Vector Copy Number of T cells was enhanced by the administration of rimiducid to activate iMC, increasing cell dose, and lymphodepletion with Flu/Cy. Rimiducid-dependent increase in serum cytokines and chemokines observed in most patients, particularly those in the Flu/Cy cohort. T cell persistence of greater than3 weeks was observed in nine of 17 patients with a minimum of 28 days of follow-up samples, including all 5 patients who received Flu/Cy. Administration of BPX-601 followed by single-dose rimiducid was well tolerated with no dose-limiting toxicities. Adverse Events were generally consistent with those experienced by advanced cancer patients undergoing cytotoxic chemotherapy and other cancer immunotherapies. All 18 patients treated with BPX-601 reported at least 1 AE. The most frequent AEs regardless of causality were febrile neutropenia, fatigue, neutropenia, pyrexia, dysuria, hematuria and nausea. The majority of AEs related to BPX-601/rimiducid were mild to moderate in intensity and resolved with or without supportive care. New treatment related adverse events in the Flu/Cy cohort included: One patient experienced Grade 2 cytokine release syndrome post-rimiducid infusion, received treatment with a single infusion of IV tocilizumab, and the event resolved the same day; One patient experienced Grade 2 encephalopathy post-rimiducid infusion with no concomitant CRS. Symptoms resolved with corticosteroids within 1 week Four patients experienced Grade 1-3 urologic toxicity. Symptoms in all patients resolved with standard supportive care; Of 13 efficacy-evaluable patients treated with BPX-601 and a single dose of rimiducid, 8 patients had stable disease, and 3 patients had tumor shrinkage of 10% to 24%; With median duration of follow-up of 9.1 weeks, the median time to follow-on cancer therapy in patients who received subsequent therapy was 16.6 weeks; In the Flu/Cy cohort, 2 patients with at least the median follow-up of 9.1 weeks had a time to next treatment of greater than 22 weeks which was ongoing at the time of the data cutoff.
BGNE

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13:46 EDT BeiGene announces preliminary Phase 2 results of Tislelizumab in NPC - BeiGene announced preliminary results of tislelizumab, its investigational anti-PD-1 inhibitor, in Chinese patients with nasopharyngeal cancer that were presented in a poster at the 2019 American Society of Clinical Oncology Annual Meeting. The multi-center, open-label Phase 1/2 trial of tislelizumab as monotherapy in advanced solid tumors in China consists of a Phase 1 dose verification and pharmacokinetics component and a Phase 2 component of indication expansion in disease-specific cohorts, including patients with NPC solid tumors. Data presented at ASCO today are from 21 patients with NPC, of whom 20 were enrolled in the Phase 2 indication-expansion portion of the trial. Patients were treated with tislelizumab at a dose of 200 mg every three weeks. 95% of the study population received one or more prior regimens of systemic therapy. At the time of the data cutoff on December 1, 2018, median treatment duration was 7.5 months, median follow-up time was 11.7 months, and nine patients remained on treatment. Adverse events assessed by the investigator to be related to treatment occurred in 14 patients. Of those, the most common treatment-related AEs were hypothyroidism, anemia, increased AST, and hemoptysis. There was one grade 4 cutaneous reaction TRAE that led to discontinuation. Of the eight patients who experienced immune-related AEs, two patients experienced three grade greater than or equal to3 irAEs. No patients experienced fatal TRAEs. As of the data cutoff, all 21 patients were evaluable for antitumor activity. A total of nine patients achieved a confirmed partial response and nine patients achieved stable disease. Clinical benefit was observed regardless of PD-L1 expression. The confirmed objective response rate was 43% . Median duration of response was estimated as 8.3 months and median progression-free survival was 10.4 months; however, data were not yet mature enough to estimate overall survival.
MRSN

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13:43 EDT Mersana Therapeutics presents interim Phase 1 data for XMT-1536 - Mersana Therapeutics presented new interim efficacy and safety data from its ongoing Phase 1 dose-escalation study evaluating XMT-1536, its first-in-class ADC candidate targeting NaPi2b, in patients with ovarian cancer, non-small cell lung adenocarcinoma and other tumor types. Mersana demonstrated that as of May 10, 2019, XMT-1536 is well tolerated at doses up to 30 mg/m2, with observation of objective responses at 20 mg/m2 and higher. Of the 37 patients enrolled, tumor types included 22 ovarian, fallopian tube or primary peritoneal cancer, four NSCLC, eight endometrial, two papillary renal, and one salivary duct cancer. Patients were heavily pre-treated, with a median of four prior lines of treatment for all patients and a median of five lines of prior treatment in ovarian cancer patients. Interim results included: The most common treatment-related adverse events were Grade 1-2 nausea, fatigue, and headache, and the most frequent Grade 3 TRAE was transient AST elevation. In patients with tumor types selected for the planned expansion phase treated at greater than or equal to20 mg/m2, three achieved partial responses and eight achieved stable disease for a disease control rate of 11/18, and a treatment duration lasting beyond 16 weeks in 9 patients. In ovarian cancer patients treated at greater than or equal to30 mg/m2, two achieved partial responses and three achieved stable disease for a disease control rate of 5/7, and three of these patients were treated on study for more than 16 weeks. The company continues to evaluate patients in the dose escalation portion of the study in the once-every-four-week dose level of 36 mg/m2. Upon completion of the 36 mg/m2 evaluation, the company expects to choose either the 30 mg/m2 or 36 mg/m2 every four weeks as the go forward dose for the dose expansion phase of the study. Mersana is planning to begin dosing patients in the dose expansion phase in third quarter of 2019.
MRNA MRK

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13:40 EDT Moderna presents data from Phase 1 study in resected, unresected solid tumors - Moderna (MRNA) announced interim data from an ongoing Phase 1 clinical study in patients with both resected and unresected solid tumors. The data showed that the company's mRNA personalized cancer vaccine mRNA-4157, given alone or in combination with Merck's (MRK) pembrolizumab, was well-tolerated at all doses tested and elicited neoantigen-specific T-cell responses. There were no vaccine-related serious adverse events reported for the PCV when administered to patients as a monotherapy or in combination with pembrolizumab. The study demonstrates the immunogenicity of Moderna's mRNA platform for developing PCVs. In addition, clinical activity was observed in some patients receiving mRNA-4157 in combination with pembrolizumab. These safety, tolerability and immunogenicity data and the initial clinical activity observed support Moderna's randomized Phase 2 study investigating pembrolizumab in combination with a 1 mg dose of mRNA-4157, compared to pembrolizumab alone, for the treatment of high-risk adjuvant melanoma.
MRK

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13:33 EDT Merck presents 5-year efficact, safety data for Keytruda in NSCLC - Merck announced the presentation of five-year efficacy and safety data for Keytruda, Merck's anti-PD-1 therapy, as monotherapy in patients with advanced non-small cell lung cancer from the first KEYNOTE trial. In this study, Keytruda demonstrated a five-year overall survival rate of 23.2% in treatment-naive patients and 15.5% in previously treated patients. Of note, the five-year OS rate among patients whose tumors expressed PD-L1 was 29.6% in treatment-naive patients and 25.0% in previously treated patients. After 60.6 months of median follow-up, results from KEYNOTE-001 demonstrated the effect of Keytruda monotherapy across primary and secondary endpoints, including OS, objective response rate and duration of response. The investigator-reported ORR was 41.6% in treatment-naive patients and 22.9% in previously treated patients. Median DOR was 16.8 months and 38.9 months, respectively. Among the 60 patients who received two or more years of treatment with Keytruda, the five-year OS rate was 78.6% in treatment-naive patients and 75.8% in previously treated patients. The ORR in these patients was 86% and 91%, respectively. Median DOR was 52.0 months in treatment-naive patients and was not reached in previously treated patients. The safety profile of Keytruda was consistent with what has been seen in previously reported studies among patients with advanced NSCLC. Treatment-related adverse events of any grade occurred in 71% of patients receiving Keytruda; grade 3-5 TRAEs occurred in 13% of patients. Immune-mediated adverse events were reported in 17% of patients. Hypothyroidism was the most commonly reported immune-mediated adverse event, followed by pneumonitis, hyperthyroidism and skin toxicities.
CLVS

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13:27 EDT Clovis announces expanded Rubraca data from ARIEL3, TRITON2 trials - Clovis Oncology announced multiple datasets presented at the 2019 American Society of Clinical Oncology Annual Meeting in Chicago, including presentations of exploratory endpoint evaluations and updated safety data from the pivotal Phase 3 ARIEL3 trial evaluating Rubraca for the maintenance treatment of advanced ovarian cancer, as well as genomic characteristics of BRCA1/2 mutations among metastatic castration-resistant prostate cancer patients in the Phase 2 TRITON2 trial evaluating Rubraca in mCRPC. Data from this analysis of the ARIEL3 trial, which enrolled patients with platinum-sensitive recurrent ovarian carcinoma, demonstrated that Rubraca significantly improved the clinically meaningful exploratory endpoints of chemotherapy-free interval, time to start of first subsequent therapy, time to investigator-assessed progression on the subsequent line of treatment or death, and time to second subsequent therapy vs. placebo. The updated safety profile generated in this analysis is consistent with the previously-reported primary efficacy data analysis based on a data cutoff date of April 15, 2017. As of December 31, 2017, the most common treatment-emergent adverse events of any grade were nausea, asthenia/fatigue, dysgeusia, and anemia/decreased hemoglobin. The most common grade greater than or equal to TEAEs were anemia/decreased hemoglobin and alanine/aspartate aminotransferase increase. The ongoing phase 2 TRITON2 study is evaluating the poly(ADP-ribose) polymerase inhibitor rucaparib in mCRPC patients harboring a deleterious germline or somatic mutation in BRCA1, BRCA2, ATM, or other DNA damage repair genes as determined by central screening of tumor tissue or plasma, or from local testing. Next-generation sequencing assays evaluating tumor tissue and circulating cell-free tumor DNA in plasma were both used to successfully identify patients with eligible alterations in BRCA1/2. The plasma assay is minimally invasive and reliably detects alterations in patients with disease that is difficult to biopsy. In this analysis, associations between baseline genomic and clinical characteristics were assessed. Several findings support the hypothesis that germline BRCA1/2 alterations are a prognostic factor in prostate cancer associated with more rapid progression to advanced disease. Patients with germline BRCA1/2 alterations were younger at time of enrollment into TRITON2, had more advanced disease at time of diagnosis and had a shorter time between diagnosis and enrollment into TRITON2 as compared to patients with somatic BRCA1/2 alterations. However, responses to rucaparib were observed in patients with germline or somatic BRCA1/2 alterations, highlighting the potential of rucaparib to benefit both groups of patients. The poster includes the confirmed objective response rate data based on the same June 29, 2018 visit cut-off date presented at ESMO 2018 and presents those data by germline or somatic BRCA1/2 mutation status. By investigator-assessed RECIST/PCWG3, the confirmed ORR in patients with a germline or somatic BRCA1/2 mutation treated with Rubraca was 50% or 40%, respectively. By PSA response, the confirmed ORR in patients with a germline or somatic BRCA1/2 mutation treated with Rubraca was 66.7% or 43.3%, respectively.
NVS

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13:11 EDT Novartis reports 'statistically significant' survival for Kisqali with endocrine - Novartis announced "statistically significant" overall survival results for Kisqali in combination with endocrine therapy. The Phase 3 MONALEESA-7 trial evaluated Kisqali plus endocrine therapy as initial treatment compared to endocrine therapy alone in pre- and perimenopausal women with hormone receptor positive, human epidermal growth factor receptor-2 negative advanced or metastatic breast cancer. MONALEESA-7 overall survival results will be presented as a late-breaker at the 2019 American Society of Clinical Oncology Annual Meeting and will be published in The New England Journal of Medicine. The significant extension in survival met the early efficacy stopping criteria at a pre-specified interim analysis following 192 deaths, Novartis said. Overall survival rates in the intent-to-treat population at 42 months were 70.2% for Kisqali combination therapy compared to 46.0% for endocrine therapy alone. At the time of data cut-off, 35% of women taking Kisqali combination therapy were continuing the treatment. No new safety signals were observed, added the company. Kisqali is not indicated for use with tamoxifen. "Overall survival benefit is considered the 'gold standard' in cancer trials but is challenging to achieve in HR+/HER2- metastatic breast cancer. MONALEESA-7 reached this important endpoint earlier than anticipated," said Sara Hurvitz, MD, Medical Director of the Jonsson Comprehensive Cancer Center Clinical Research Unit and Director of the Breast Cancer Clinical Trials Program at UCLA. "Impactful results like these ribociclib findings are what we wish for in every clinical trial, and to achieve overall survival improvement in an incurable disease, like metastatic breast cancer, is truly an outstanding advancement for patients."
SIMO DLGNF

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13:09 EDT Silicon Motion completes sale of FCI to Dialog Semiconductor - Silicon Motion Technology (SIMO) announced that it has completed the sale of FCI, its Mobile Communications product line, to Dialog Semiconductor (DLGNF).
MRK

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13:07 EDT Merck says Keytruda demonstrated five-year overall survival rate of 23.2% - Merck announced the presentation of five-year efficacy and safety data for Keytruda, the company's anti-PD-1 therapy, as monotherapy in patients with advanced non-small cell lung cancer from the first Keynote trial. In this study, Keytruda demonstrated a five-year overall survival rate of 23.2% in treatment-naive patients and 15.5% in previously treated patients. Of note, the five-year OS rate among patients whose tumors expressed PD-L1 was 29.6% in treatment-naive patients and 25.0% in previously treated patients, the company said. These findings, which represent the longest follow-up for Keytrudain lung cancer, will be highlighted at the 2019 American Society of Clinical Oncology Annual Meeting. The investigator-reported objective response rate was 41.6% in treatment-naive patients and 22.9% in previously treated patients. Median duration of response was 16.8 months and 38.9 months, respectively. Among the 60 patients who received two or more years of treatment with Keytruda, the five-year OS rate was 78.6% in treatment-naive patients and 75.8% in previously treated patients. "Five-year survival is a significant milestone for patients with advanced non-small cell lung cancer, and it is encouraging to see the long-term overall survival rates from our first KEYNOTE study," said Dr. Roy Baynes, senior vice president and chief medical officer, Merck Research Laboratories. "These five-year data provide important insights into the long-term safety and efficacy of KEYTRUDA in patients with advanced non-small cell lung cancer."
CLVS

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13:04 EDT Clovis says Rubraca 'significantly improved' exploratory endpoints - Clovis Oncology announced multiple datasets being presented at the 2019 American Society of Clinical Oncology Annual Meeting in Chicago. These include presentations of exploratory endpoint evaluations and updated safety data from the pivotal Phase 3 ARIEL3 trial evaluating Rubraca for the maintenance treatment of advanced ovarian cancer, as well as genomic characteristics of BRCA1/2 mutations among metastatic castration-resistant prostate cancer patients in the Phase 2 TRITON2 trial evaluating Rubraca in mCRPC, the company said. "The breadth and depth of data from both company and investigator-sponsored Rubraca trials presented at this year's ASCO meeting demonstrate the growing strength of the data and clinical development programs behind Rubraca," said Patrick Mahaffy, President and CEO of Clovis Oncology. "Accordingly, we look forward to presenting updated clinical data from the TRITON2 study at an upcoming medical conference in the second half of 2019 and submitting our planned supplemental NDA filing for BRCA-mutant advanced prostate cancer in Q4 2019." Data from this analysis of the ARIEL3 trial, which enrolled patients with platinum-sensitive recurrent ovarian carcinoma, demonstrated that Rubraca "significantly improved" the clinically meaningful exploratory endpoints of chemotherapy-free interval, time to start of first subsequent therapy, time to investigator-assessed progression on the subsequent line of treatment or death, and time to second subsequent therapy verus placebo, according to Clovis. The updated safety profile generated in the analysis is consistent with the previously-reported primary efficacy data analysis based on a data cutoff date of April 15, 2017, it added.
DBVT

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12:54 EDT DBV says abstracts show potential benefit of Viaskin Peanut treatment - DBV Technologies announced that abstracts highlighting clinical and pre-clinical data for epicutaneous immunotherapy, the basis for its Viaskin technology platform, were accepted for poster and oral presentation at the European Academy of Allergy & Clinical Immunology Congress in Lisbon, Portugal, June 1-5. The results "highlight the potential benefit of longer-term treatment with Viaskin Peanut," DBV said in a statement. "By using the skin to activate the immune system, EPIT may provide potential benefit to patients with food allergies in a non-invasive manner," said Dr. Hugh Sampson, Chief Scientific Officer and interim Chief Medical Officer of DBV Technologies and Kurt Hirschhorn Professor of Pediatrics at the Icahn School of Medicine at Mount Sinai. "We're excited to highlight Viaskin Peanut, if approved, as a potential treatment option for peanut allergy, which can be life-threatening. In addition to the data being presented at EAACI, we look forward to continuing to explore the potential benefit of long-term treatment with Viaskin Peanut, with year-three results from our ongoing open label PEOPLE trial expected around the end of the year."